Seven cases with bone tumor in upper limb were reported. Five cases were treated by using free vascularized fibular graft, 2 cases by using fusion between humorus and clavicle. A follow-up study of six patients showed that the graft bone was united within 3 months in 5 cases, in 6 months in one case. Partial function of upper limb in 6 patients have been restored.
Fifty cases of adult cadaveric subscapular arteries and its circumflex scapulae branches and from 102 of adult skelet on the axillary border of scapulae were measured. The results were that: the external diameter of the subscapular artery was 4.3cm with the length of 2.9cm; the axillary border of the scapula was 13.4cm; the thicknesses of the upper 1/3, middle 1/3, and lower 1/3were 13.9cm,11.0cm, and 7.4cm respectively. From the results of measurement, the subscapular artery pedicled graft of axillary border of scapular could be designed for repair the defects of upper or middle ments of humerus.
Deloyers method was pcrformed in 17 cases from 1968-1991 with satisfactory results. Some technical problems were discussed. The author recognized that the technique was excellent because the ileocecal valve and part of the ascending colon were preserved. Thus ensuring the absorption of water, the electrolyses and the nutrition. This method were used for the long type Hirchsprung s disease, however, could also be used in some common types and the cases equiring resection part of the rect, sigmoid colon, descending colon and the transverse colon.
This paper reported the use of superficial temporal vessels pedicled postauricular island flap for the reconstruction of eye socket. Six cases were treated by this method since 1988 with universal satisfactory results. The disign of the flap was diseribed. The operative procedure was detailed, and the advantages of the flap were evaluated: 1. The donor defect was hidden behind the ear; 2. The flap has a relatively long pedicle, hence easy for distant transfer, and 3. the blood supply was highly reliable.
This article reported 4 cases of reconstrution of the superficial palmar arch from transplantation of the vein arch of the dorsalis pedis by microsurgery. This technique was best reserved for those having significant damage of the palmar vesels. There were no arterial failures in these patients. The operative indications and some problems about the arterialized vein arch were discussed.
It was a difficult clinical problem to repair the defects of the distal part of the foot. Since 1987, We had used the reversed first dorsal metatarsal artery island flap in 4 cases, the results were satisfactory. The surgical anatomy, design and harvest of the flap were introduced, and it s blood supply and circulation, indication and main advantages were also discussed.
Eighteen cases with hand injury were repaired by 20 pediclcd over-thin skin flaps with success. The area of pedicled skin flap is from 1.5×1.2 to 12×8.5cm. The pedicles of skin flap were divided at 5-7 days postoperation after clamp training of the pedicle, and the flap all survived. The operative method is introduced and the mechanism of skin flap survival is discussed.
Objective To evaluate the clinical importance of doublecontrast CTdiagnosis of traumatic anterior shoulder instability. Methods Forty-eight patients underwent double contrast CT scan. With the guide of CT scan, anterior arthrocentesis of the shoulder was performed and 4 ml of 76% urografin was injected into the joint and then 10 ml of filtrated air was injected. The patients wereexamined by SOMATOM CR Systematic CT. The results of double contrast CT of the 48 patients were divided into Ⅰ, Ⅱ and Ⅲ degree according to the CT results related to their injury history, clinical symptoms, signs and operation findings. Results The patients had no complaint after the CT examination exceptfor 3 patients, who had slight pain within 2 days after CT examination. The results of double contrast CT were as follow:Ⅰ degree: 9 patients, Ⅱ degree: 22 patients, and Ⅲ degree: 17 patients. All patients with Ⅰ degree injuries were treated with rehabilitation program. The patients with Ⅱ degree injuries were mainly treated withrehabilitation program, but took much longer time. The patients with Ⅲ degreeinjuries were suggested to be treated with surgery. Conclusion To divide the results of double contrast CT into Ⅰ，Ⅱ and Ⅲ degree not only reflects the severity of traumatic anterior shoulder instability but provides information for the treatment of the instability.